Thomas Stehlé (@TStehl1) header
Thomas Stehlé (@TStehl1) profile picture

Thomas Stehlé

@TStehl1

Néphrologue polyvalent. HU Henri Mondor.

 Créteil, France
linkedin.com/in/thomas-stehl%C3%A9-8a3055253
Joined May 2018
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Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)Photo by Thomas Stehlé (@TStehl1)
Very happy to share our article just published in @radiology_rsna. If iodinated contrast media such as iohexol or iothalamate are ideal exogenous tracers for measuring GFR, why not use CT urography images to measure it? doi.org/10.1148/radiol.23056…

Glomerular Filtration Rate Measured Based on Iomeprol Clearance Assessed at CT Urography in Living...

In living kidney donor candidates, glomerular filtration rate (GFR) measured by assessing iomeprol clearance at CT urography showed good agreement with GFR measured using the reference standard of ...

pubs.rsna.org
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Thomas Stehlé retweeted
Graham Abra, MD (@GrahamAbra) profile picture
Graham Abra, MD@GrahamAbraOct 25
Increasing TKV in ADPKD with SGLT2i use Not a good sign #KidneyWk
Joel M. Topf, MD FACP (@kidney_boy) profile pictureJoel M. Topf, MD FACP
@kidney_boyOct 24
Replying to @kidney_boy
Conclusions
Image from Joel M. Topf, MD FACP (@kidney_boy)
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Jonathan Chávez (@JonathanNefro) profile picture
Jonathan Chávez
@JonathanNefroOct 23
Con enfermedad crónica renal crónica G3, la ingesta baja de proteínas <1.2gr/día se asoció con ↑42% el riesgo de llegar a diálisis y ↑2 veces el de muerte. Seguimiento de 9 años Más y mejor evidencia para abandonar esa práctica obsoleta de restringir la ingesta de proteínas Cohorte KNOW-CKD JAMA Network Open 2026 10.1001/jamanetworkopen.2026.34568
Image from Jonathan Chávez (@JonathanNefro)
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Pierre Delanaye (@PStoneOftheYear) profile picture
Pierre Delanaye@PStoneOftheYearSep 3
Challenges of kidney function evaluation in pregnancy academic.oup.com/joneph/arti… Estimating (but also measuring) GFR is particularly difficult during pregnancy. A few lines of thought. Thanks to @TStehl1 and all the merit to Stephanie Grosch
Challenges of kidney function evaluation in pregnancy

Challenges of kidney function evaluation in pregnancy

The kidney plays a central role in maintaining physiological homeostasis during pregnancy. Since the 1950s, it has been known that measured glomerular filt

academic.oup.com
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Eric Topol (@EricTopol) profile picture
Eric Topol
@EricTopolMay 20
Supplementation with Vitamin D or calcium, or both does not help prevent fractures or falls. From a new systematic review of 69 randomized trials and >150,000 participants
Image from Eric Topol (@EricTopol)
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CT-based myosteatosis and muscle mass are increasingly studied in nephrology. How should these measures be interpreted? Physiological thresholds (age, sex, population) vs arbitrary historical cutoffs? A debate that strongly echoes GFR thresholds in CKD journals.lww.com/cjasn/citat…
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AJKD (@AJKDonline) profile picture
AJKD@AJKDonlineFeb 17
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD bit.ly/3XsLlQY #OpenAccess @TStehl1 @FCanoui @luciani_hmn @AlexIngels

GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD

Opportunistic computed tomography (CT)-based screening is the practice of exploiting incidental imaging data for prevention, risk profiling, or presymptomatic detection of relevant disease unrelated...

ajkd.org
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GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD - American Journal of Kidney Diseases ajkd.org/article/S0272-6386%…

GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD

Opportunistic computed tomography (CT)-based screening is the practice of exploiting incidental imaging data for prevention, risk profiling, or presymptomatic detection of relevant disease unrelated...

ajkd.org
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Measuring GFR using CT urography performed as part of routine care is possible not only in healthy individuals, but also in patients with CKD. In this study, we demonstrate that: - CT-measured GFR is more accurate than GFR estimated from creat, cys C, or both (eGFRcr-cys).
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- Hybrid GFR, defined as the mean between CT-mGFR and eGFRcr-cys would be even more accurate. These results open up new perspectives, particularly for patients with kidney cancer or urothelial carcinoma.
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Very pleased to share this publication! doi.org/10.1016/j.ekir.2025.… A low eGFRcys/eGFRcr ratio is increasingly recognized as a risk factor for morbidity and mortality, including CV events. However, there was little or no data available on kidney transplantation.
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In addition to diabetes and male gender, we identified myosteatosis and low muscle mass as predisposing factors. Visceral and subcutaneous fat mass were not determinants of the decreased ratio.
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Congratulations to @MoryoussefM for this first original study, to @MorelAntoine9 , the statistician in chief for this work :-), and to all the co-authors!
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🧵1/9 Could we improve kidney care by rethinking who gets referred to a nephrologist? Our latest study from the SCREAM cohort suggests: yes — if we base it on predicted risk rather than fixed eGFR/ACR cutoffs. 📄 Caldinelli et al, 2025, @NDTsocial 🔗shorturl.at/0CzNq
Risk-based referral model to nephrologist specialist care in Stockholm

Risk-based referral model to nephrologist specialist care in Stockholm

ABSTRACTBackground. For most patients, clinical management of the early stages of chronic kidney disease is performed in primary care settings. The Kidney

academic.oup.com
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The new Impact Factors are out. Here is a list of some kidney journals: @NDTsocial @CKJsocial @ERAkidney
Image from Hans-Joachim Anders (@hjanders_hans)
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Selective glomerular hypofiltration syndrome: a critical appraisal - @Dr_Bqg (SP)
Image from ERA - European Renal Association (@ERAkidney)
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Impact of the choice of biomarkers and equations on CKD epidemiology journals.lww.com/co-nephrolh… Thanks to @TStehl1 and Rouvick Gama and thanks to Naveep Tangri for th invitation
Impact of the choice of biomarkers and equations... : Current Opinion in Nephrology & Hypertension

Impact of the choice of biomarkers and equations... : Current Opinion in Nephrology & Hypertension

Purpose of reviewThe CKD-EPI equations were updated in 2021 to remove the race variable from eGFR estimation. In the same year, the creatinine-based...

ovid.com
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AJKD (@AJKDonline) profile picture
AJKD@AJKDonline21 May 2025
Complex Etiologies of the Discordance Between Cystatin C– and Creatinine-Based Estimated GFR and Its Adverse Associations: Findings From the @CRICStudy bit.ly/McCoyOI25 @NephroNinja @asgmd1 @JonTaliercio_DO @sylviaerosas @markunruh_01
Image from AJKD (@AJKDonline)
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François Gemenne (@Gemenne) profile picture
François Gemenne@Gemenne19 May 2025
C'est la meilleure nouvelle pour le climat depuis très longtemps, et pourtant on n'en parle quasiment pas. Les émissions de la Chine ont baissé de 1,6% au premier trimestre 2025, et ont baissé de 1% sur les 12 derniers mois. 1/4
Image from François Gemenne (@Gemenne)
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Après de nombreux mois/années de travail, voici enfin le #PNDS sur l' #hypopara en ligne has-sante.fr/jcms/c_2789355/… @FranceHypopara @FiliereOSCAR @CrmrCaP
Hypoparathyroïdie

Hypoparathyroïdie

Ce protocole national de diagnostic et de soins (PNDS) explicite aux professionnels concernés la prise en charge diagnostique et thérapeutique optimale et le parcours de soins d’un(e) patient(e)...

has-sante.fr
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